CPMSC CARROLLTON – NPI #1316233612
Clinic/Center

CPMSC CARROLLTON is an AHC clinic located in CARROLLTON, GA. NPPES has assigned the NPI number 1316233612 to CPMSC CARROLLTON on June 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 11 years ago on Oct 20, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CPMSC CARROLLTON below.

NPI Profile for
CPMSC CARROLLTON

NPI Number
1316233612
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CPMSC CARROLLTON
Primary location
812 SOUTH PARK STREET
SUITE 5-B
CARROLLTON, GA 30117
Phone: (770) 929-9033 Fax: (770) 929-9092
Mailing address
P.O. BOX 11407
DEPT 3185
BIRMINGHAM, AL 35426-3185
Phone: (770) 929-9033 Fax: (770) 929-9092
Organization Subpart
No
Authorized Official
VICTORIA BECK
CFO
Phone: (404) 920-4950
Updated
Identifiers

Identifiers for CPMSC CARROLLTON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA003126952A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.